RESUMEN
An extensive network of dose rate monitoring stations continuously measures ambient dose rate across Europe, as part of the EURDEP system. Its purpose is early warning in radiological emergencies and documenting its temporal and spatial evolution. In normal conditions, when there is no contribution to the dose rate signal coming from fresh anthropogenic contamination, the data represent the radiation "background", i.e. the combined natural radiation and existing anthropogenic contamination (by global and Chernobyl fallout). These data are being stored, but have so far not been evaluated in depth, or used for any purpose. In the framework of the EU project 'European Atlas of Natural Radiation' the idea has emerged to exploit these data for generating a map of natural terrestrial gamma radiation. This component contributes to the total radiation exposure and knowing its geographical distribution can help establishing local 'radiation budgets'. A further use could be found in terrestrial dose rate as a proxy of the geogenic radon potential, as both quantities are related by partly the same source, namely uranium content of the ground. In this paper, we describe in detail the composition of the ambient dose equivalent rate as measured by the EURDEP monitors with respect to its physical nature and to its sources in the environment. We propose and compare methods to recover the terrestrial component from the gross signal. This requires detailed knowledge of detector response. We consider the probes used in the Austrian, Belgian and German dose rate networks, which are the respective national networks supplying data to EURDEP. It will be shown that although considerable progress has been made in understanding the dose rate signals, there is still space for improvement in terms of modelling and model parameters. An indispensable condition for success of the endeavour to establish a Europe-wide map of terrestrial dose rate background is progress in harmonising the European dose rate monitoring network.
Asunto(s)
Radiación de Fondo , Contaminación Ambiental/estadística & datos numéricos , Rayos gamma , Dosis de Radiación , Monitoreo de Radiación/métodos , Austria , Exposición a Riesgos Ambientales/estadística & datos numéricosRESUMEN
This article describes results of the first measurements of indoor radon concentrations in Azerbaijan, including description of the methodology and the mathematical and statistical processing of the results obtained. Measured radon concentrations varied considerably: from almost radon-free houses to around 1100 Bq m-3. However, only ~7% of the total number of measurements exceeded the maximum permissible concentrations. Based on these data, maps of the distribution of volumetric activity and elevated indoor radon concentrations in Azerbaijan were created. These maps reflect a mosaic character of distribution of radon and enhanced values that are confined to seismically active areas at the intersection of an active West Caspian fault with sub-latitudinal faults along the Great and Lesser Caucasus and the Talysh mountains. Spatial correlation of radon and temperature behavior is also described. The data gathered on residential indoor radon have been integrated into the European Indoor Radon Map.
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Contaminantes Radiactivos del Aire , Monitoreo de Radiación , Radón , Contaminación del Aire Interior , Azerbaiyán , Vivienda , HumanosRESUMEN
Recognized as a significant health hazard, radon (Rn) has been given increasing attention for years. Surveys of different kinds have been performed in many countries to assess the intensity and the geographical extent of possible Rn problems. Common surveys cover mainly dwellings, the indoor place with highest occupancy, and schools, where people spend a large fraction of their lifetime and which can also be considered exemplary for Rn exposure at workplaces; it has however been observed that relating them is difficult. It was unclear whether residential Rn at a location, or in a region, can be predicted by Rn at a school of that location, or vice versa. To current knowledge, no general rule seems applicable, as few models to describe the relationship between Rn in dwellings and in schools have been developed. In Southern Serbia, a Rn survey in a predominantly rural region was based on measurements in primary schools. The question arose whether or to which degree the results can be considered as indicative or even representative for residential Rn concentrations. To answer the question an additional survey of indoor Rn concentrations in dwellings was initiated, designed and performed in Sokobanja district in 2010-2012 in a manner to be able to detect a relationship if it exists. In the study region, 108 dwellings in 12 villages and towns were selected, with one primary school each. In this paper, we investigate how a relation between Rn in schools and dwellings could be identified and quantified, by developing a model and using experimental data from both the above main and additional surveys. The key criterion is the hypothesis that the relation dwellings - schools, if it exists, is stronger for dwellings closer to a school than for those dwellings further away. We propose methods to test the hypothesis. As result, the hypothesis is corroborated at 95% significance level. More specifically, on town level (typical size about 1 km), the Rn concentration ratio dwelling/school is about 0.8 (geometrical mean), with geometrical standard deviation (GSD) about 1.9. For dwelling and school hypothetically in the same location, the ratio is estimated about 0.7 with GSD about 1.5. We think that the methodology can be applied to structurally similar problems. The results could be used to create "conditional maps" of Rn concentration in dwellings, i.e., for example a map of probabilities that indoor Rn concentrations in dwellings exceed 100 Bq/m3, as function of Rn concentration in the local school.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Contaminación del Aire Interior/estadística & datos numéricos , Monitoreo de Radiación , Radón/análisis , Contaminación del Aire Interior/análisis , Vivienda , Instituciones Académicas , SerbiaRESUMEN
The present study proposes a methodology to identify spatial patterns in airborne radioactive particles in Europe. The methodology is based on transforming the activity concentrations in the set of stations for each month (monthly index), due to the tightly spaced sampling intervals (daily to monthly), in combination with hierarchical and non-hierarchical clustering approaches, due to the lack of a priori knowledge of the number of clusters to be created. Three different hierarchical cluster methodologies are explored to set the optimal number of clusters necessary to initialize the non-hierarchical one (k-means). To evaluate this methodology, cosmogenic beryllium-7 ((7)Be) data, collected between 2007 and 2010 at 19 sampling stations in European Union (EU) countries and stored in the Radioactivity Environmental Monitoring (REM) database, are used. This methodology yields a solution with three distinguishable clusters (south, central and north), each with a different evolution of the (7)Be monthly index. Clear differences between monthly indices are shown in both intensity and time trends, following a latitudinal distribution of the sampling stations. This cluster result is evaluated performing ANOVA analysis, considering the original (7)Be activity concentrations grouped in each cluster. The statistical results (among clusters and sampling stations within clusters) confirm the spatial distribution of (7)Be in Europe, and, hence, reinforce the use of this methodology. Finally, the impact of tropopause height on this grouping is successfully tested, suggesting its influence on the spatial distribution of (7)Be in Europe. For airborne radioactive particles the analysis gave valuable results that improve knowledge of these atmospheric compounds in Europe. Hence, this work addresses a methodology to a grouping of airborne sampling stations, 1) allowing a better understanding of the distribution of (7)Be activity concentrations in the EU, and 2) serving as a basis for further investigation of the heterogeneity of airborne radioactivity concentrations in Europe.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Berilio/análisis , Monitoreo de Radiación/métodos , Atmósfera , Análisis por Conglomerados , Europa (Continente) , Estudios de Factibilidad , Radioisótopos/análisis , Análisis EspacialRESUMEN
According to the EURATOM (European Atomic Energy Community) Treaty, one of the missions of the Joint Research Centre (JRC) of the European Commission (EC) is to collect, process, evaluate and present data on environmental radioactivity. In 2006, the JRC started the 'European Atlas of Natural Radiation' project, in order to give an overview of the geographic distribution of sources of, and exposures to, natural radiation. As a first task, a map of indoor radon concentration was created, because in most cases this is the most important contribution to exposure, and since it could be expected that data collection would take quite some time, because radon (Rn) surveys are very differently advanced between European countries. The authors show the latest status of this map. A technically more ambitious map proved the one of the geogenic Rn potential (RP), due to heterogeneity of data sources across Europe and the need to develop models to estimate a harmonised quantity which adequately measures or classifies the RP. Further maps currently in the making include those of secondary cosmic radiation, of terrestrial gamma radiation and of the concentrations of the elements U, Th and K that are its source. In this article, the authors show the progress of some of these maps.
Asunto(s)
Contaminación Radiactiva del Aire/análisis , Atlas como Asunto , Radiación de Fondo , Monitoreo de Radiación/métodos , Radioisótopos/análisis , Radón/análisis , Radiación Cósmica , Europa (Continente) , Unión Europea , Exposición a la Radiación/análisisRESUMEN
This study presents a European-wide analysis of the spatial and temporal distribution of the cosmogenic isotope (7)Be in surface air. This is the first time that a long term database of 34 sampling sites that regularly provide data to the Radioactivity Environmental Monitoring (REM) network, managed by the Joint Research Centre (JRC) in Ispra, is used. While temporal coverage varies between stations, some of them have delivered data more or less continuously from 1984 to 2011. The station locations were considerably heterogeneous, both in terms of latitude and altitude, a range which should ensure a high degree of representativeness of the results. The mean values of (7)Be activity concentration presented a spatial distribution value ranging from 2.0 to 5.4 mBq/m(3) over the European Union. The results of the ANOVA analysis of all (7)Be data available indicated that its temporal and spatial distributions were mainly explained by the location and characteristic of the sampling sites rather than its temporal distribution (yearly, seasonal and monthly). Higher (7)Be concentrations were registered at the middle, compared to high-latitude, regions. However, there was no correlation with altitude, since all stations are sited within the atmospheric boundary layer. In addition, the total and yearly analyses of the data indicated a dynamic range of (7)Be activity for each solar cycle and phase (maximum or minimum), different impact on stations having been observed according to their location. Finally, the results indicated a significant seasonal and monthly variation for (7)Be activity concentration across the European Union, with maximum concentrations occurring in the summer and minimum in the winter, although with differences in the values reached. The knowledge of the horizontal and vertical distribution of this natural radionuclide in the atmosphere is a key parameter for modelling studies of atmospheric processes, which are important phenomena to be taken into account in the case of a nuclear accident.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Berilio/análisis , Radioisótopos/análisis , Clima , Unión Europea , Monitoreo de Radiación , Estaciones del AñoRESUMEN
In 2006, the Joint Research Centre of the European Commission launched a project to map radon at the European level, as part of a planned European Atlas of Natural Radiation. It started with a map of indoor radon concentrations. As of May 2014, this map includes data from 24 countries, covering a fair part of Europe. Next, a European map of geogenic radon, intended to show 'what earth delivers' in terms of radon potential (RP), was started in 2008. A first trial map has been created, and a database was established to collect all available data relevant to the RP. The Atlas should eventually display the geographical distribution of physical quantities related to natural radiation. In addition to radon, it will comprise maps of quantities such as cosmic rays and terrestrial gamma radiation. In this paper, the authors present the current state of the radon maps and the Atlas.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Contaminación del Aire Interior/análisis , Radiación de Fondo , Radiación Cósmica , Rayos gamma , Monitoreo de Radiación , Radón/análisis , Europa (Continente) , HumanosRESUMEN
Thoron gas and its progeny behave quite differently in room environments, owing to the difference in their half-lives; therefore, it is important to measure simultaneously gas and progeny concentrations to estimate the time-integrated equilibrium factor. Furthermore, thoron concentration strongly depends on the distance from the source, i.e. generally walls in indoor environments. In the present work, therefore, the measurements of both thoron and radon gas and their progeny concentrations were consistently carried out close to the walls, in 43 dwellings located in the Sokobanja municipality, Serbia. Three different types of instruments have been used in the present survey to measure the time-integrated thoron and radon gas and their progeny concentrations simultaneously. The equilibrium factor for thoron measured 'close to the wall', [Formula: see text], ranged from 0.001 to 0.077 with a geometric mean (GM) [geometric standard deviation (GSD)] of 0.006 (2.2), whereas the equilibrium factor for radon, FRn, ranged from 0.06 to 0.95 with a GM (GSD) of 0.23 (2.0).
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Vivienda , Monitoreo de Radiación/métodos , Radón/análisis , HumanosRESUMEN
UNLABELLED: In order to optimize the design of a national survey aimed to evaluate radon exposure of children in schools in Serbia, a pilot study was carried out in all the 334 primary schools of 13 municipalities of Southern Serbia. Based on data from passive measurements, rooms with annual radon concentration >300 Bq/m(3) were found in 5% of schools. The mean annual radon concentration weighted with the number of pupils is 73 Bq/m(3), 39% lower than the unweighted 119 Bq/m(3) average concentration. The actual average concentration when children are in classrooms could be substantially lower. Variability between schools (CV = 65%), between floors (CV = 24%) and between rooms at the same floor (CV = 21%) was analyzed. The impact of school location, floor, and room usage on radon concentration was also assessed (with similar results) by univariate and multivariate analyses. On average, radon concentration in schools within towns is a factor of 0.60 lower than in villages and at higher floors is a factor of 0.68 lower than ground floor. Results can be useful for other countries with similar soil and building characteristics. PRACTICAL IMPLICATIONS: On average, radon concentrations are substantially higher in schools in villages than in schools located in towns (double,on average). Annual radon concentrations exceeding 300 Bq/m3 were found in 5% of primary schools (generally on ground floors of schools in villages). The considerable variability of radon concentration observed between and within floors indicates a need to monitor concentrations in several rooms for each floor. A single radon detector for each room can be used provided that the measurement error is considerable lower than variability of radon concentration between rooms.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Radón/análisis , Niño , Humanos , Análisis Multivariante , Proyectos Piloto , Monitoreo de Radiación/métodos , Análisis de Regresión , Población Rural , Instituciones Académicas , Serbia , Población UrbanaRESUMEN
Between 2008 and 2011 a survey of radon ((222)Rn) was performed in schools of several districts of Southern Serbia. Some results have been published previously (Zunic et al., 2010; Carpentieri et al., 2011; Zunic et al., 2013). This article concentrates on the geographical distribution of the measured Rn concentrations. Applying geostatistical methods we generate "school radon maps" of expected concentrations and of estimated probabilities that a concentration threshold is exceeded. The resulting maps show a clearly structured spatial pattern which appears related to the geological background. In particular in areas with vulcanite and granitoid rocks, elevated radon (Rn) concentrations can be expected. The "school radon map" can therefore be considered as proxy to a map of the geogenic radon potential, and allows identification of radon-prone areas, i.e. areas in which higher Rn radon concentrations can be expected for natural reasons. It must be stressed that the "radon hazard", or potential risk, estimated this way, has to be distinguished from the actual radon risk, which is a function of exposure. This in turn may require (depending on the target variable which is supposed to measure risk) considering demographic and sociological reality, i.e. population density, distribution of building styles and living habits.
Asunto(s)
Contaminación del Aire Interior/análisis , Monitoreo de Radiación/estadística & datos numéricos , Radón/análisis , Interpretación Estadística de Datos , Fenómenos Geológicos , Monitoreo de Radiación/métodos , Instituciones Académicas , Serbia , Análisis EspacialRESUMEN
As part of its projected European Atlas of Natural Radiation (EANR), the Joint Research Centre (JRC) of the European Commission, in cooperation with research institutions and radioprotection authorities all over Europe, is currently developing a map of the geogenic radon potential. In an accompanying report the state of knowledge, mapping approaches and problems are discussed. We explain the rationale and the legal situation in Europe and present an overview on the main problems stemming from the heterogeneity of input datasets between participating countries and from the definition of input variables and their differently implemented sampling procedures or protocols. Further topics are definition of the target variable which quantifies the geogenic radon potential and its estimation from heterogeneous input and proxy variables, as well as problems specific to mapping, such as choice of mapping support and resolution. The geogenic map was preceded by a European map of indoor radon concentrations, which is still growing as ever more countries decide to participate, and which served as training for harmonisation problems occurring in the European data realm. We shall also briefly discuss its main results and implications for the geogenic map.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Radiación de Fondo , Mapeo Geográfico , Modelos Estadísticos , Monitoreo de Radiación/métodos , Protección Radiológica/métodos , Radón/análisis , Contaminación del Aire Interior/análisis , Simulación por Computador , Europa (Continente)RESUMEN
In an international collaboration, a long-term radon concentration survey was carried out in schools of Southern Serbia with radon detectors prepared, etched and read-out in Italy. In such surveys it is necessary to evaluate measurement precision in field conditions, and to check whether quality assurance protocols were effective in keeping uncertainties under control, despite the complex organisation of measurements. In the first stage of the survey, which involves only some of the total number of municipalities, paired detectors were exposed in each monitored room in order to experimentally assess measurement precision. Paired passive devices (containing CR-39 detectors) were exposed for two consecutive 6-month periods. Two different measurement systems were used to read out CR-39s of the first and second period, respectively. The median of the coefficient of variation (CV) of the measured exposures was 8 % for 232 paired devices of the first 6-month period and 4 % for 242 paired devices of the second 6-month period, respectively. This difference was mainly due to a different track count repeatability of the two read-out systems, which was 4 and 1 %, respectively, as the median value of CV of repeated countings. The in-field measured precision results are very similar to the precision assessed in calibration conditions and are much lower than the room-to-room variation of radon concentration in the monitored schools. Moreover, a quality assurance protocol was followed to reduce extra-exposures during detector transport from Rome to schools measured and back.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Monitoreo de Radiación/normas , Radón/análisis , Humanos , Cooperación Internacional , Instituciones Académicas , SerbiaRESUMEN
Since 2006 a European map of indoor radon (Rn) concentration is in the making. So far 20 countries have contributed with national data, allowing a fair coverage of parts of Europe. This paper presents the current (September 2010) state of the map, discusses its rationale, presents some statistical findings and addresses a few problems which arose during the work. It also briefly presents the European Atlas of Natural Radiation project, of which the Rn map will be part, and further, planned maps of environmental natural radioactivity.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Contaminación del Aire Interior/análisis , Vivienda , Monitoreo de Radiación , Radón/análisis , Europa (Continente) , HumanosRESUMEN
BACKGROUND: There is an increasing interest in health games including simulation tools, games for specific conditions, persuasive games to promote a healthy life style or exergames where physical exercise is used to control the game. OBJECTIVE: The objective of the article is to review current literature about available health games and the impact related to game design principles as well as some educational theory aspects. METHODS: Literature from the big databases and known sites with games for health has been searched to find articles about games for health purposes. The focus has been on educational games, persuasive games and exergames as well as articles describing game design principles. RESULTS: The medical objectives can either be a part of the game theme (intrinsic) or be totally dispatched (extrinsic), and particularly persuasive games seem to use extrinsic game design. Peer support is important, but there is only limited research on multiplayer health games. Evaluation of health games can be both medical and technical, and the focus will depend on the game purpose. CONCLUSION: There is still not enough evidence to conclude which design principles work for what purposes since most of the literature in health serious games does not specify design methodologies, but it seems that extrinsic methods work in persuasion. However, when designing health care games it is important to define both the target group and main objective, and then design a game accordingly using sound game design principles, but also utilizing design elements to enhance learning and persuasion. A collaboration with health professionals from an early design stage is necessary both to ensure that the content is valid and to have the game validated from a clinical viewpoint. Patients need to be involved, especially to improve usability. More research should be done on social aspects in health games, both related to learning and persuasion.
RESUMEN
Within the context of its institutional scientific support to the European Commission, in 2005 the Radioactivity Environmental Monitoring (REM) group at the Joint Research Centre of the European Commission, started to explore the possibility of mapping indoor radon in European houses as a first step towards preparing a European Atlas of Natural Radiations. The main objective of such an atlas is to contribute to familiarizing the public with its naturally radioactive environment. The process of preparing the atlas should also provide the scientific community with a database of information that can be used for further studies and for highlighting regions with elevated levels of natural radiation. This document presents the status of the European indoor radon (Rn) map, first statistical results, and outlines of forthcoming challenges.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Contaminación del Aire Interior/análisis , Monitoreo de Radiación , Radón/análisis , Europa (Continente)RESUMEN
OBJECTIVE: To study a rapid Xpert polymerase chain reaction (PCR) method in detecting methicillin-resistant Staphylococcus aureus (MRSA) in patients and healthcare workers (HCW) exposed to MRSA, and to estimate savings associated to isolation or work restriction. METHODS: A test set of four double (one for the growth and one for the rapid test) pre-wet swabs from the nose, throat, hands/wrists and perineum was studied by a growth method and by the Xpert MRSA test. RESULTS: The total correspondence between the growth and the rapid test was 92.8%. The overall sensitivity, specificity, positive and negative predictive values were for the Xpert MRSA test: 87%, 99.6%, 68.5% and 99.9%, and for the growth test: 76%, 100%, 100%, and 99.8%, assuming a prevalence of MRSA of 0.01%. Among the MRSA positive persons, the Xpert and growth tests detected MRSA in 44.6% and 40% of nose samples, respectively, 38.2% and 45.5% throat samples, 30.8% and 11.5% hands/wrists samples, 44% and 38% perineum samples, and in 81.8% and 77.3% wound samples, respectively. By combining four anatomical sites, the detection rate increased to 87.5% by both methods. The cost for each Xpert and growth test was euro50 and euro6.25, respectively. The rapid test would save at least euro925 per exposed HCW and euro550 per patient that were MRSA negative. CONCLUSION: The MRSA Xpert test is easy to perform, has a high negative predictive value, and may be used to control healthcare workers and patients exposed to MRSA. Sampling from multiple anatomical locations is recommended. Still, more then 10% of MRSA positive cases may not be found.
Asunto(s)
Técnicas Bacteriológicas/economía , Técnicas Bacteriológicas/métodos , Portador Sano/diagnóstico , Tamizaje Masivo/economía , Tamizaje Masivo/métodos , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Infecciones Estafilocócicas/diagnóstico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Portador Sano/microbiología , Niño , Preescolar , Femenino , Costos de la Atención en Salud , Hospitales , Humanos , Lactante , Masculino , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa/economía , Reacción en Cadena de la Polimerasa/métodos , Valor Predictivo de las Pruebas , Sensibilidad y Especificidad , Infecciones Estafilocócicas/microbiología , Factores de Tiempo , Adulto JovenRESUMEN
Routine surface cleaning is recommended to control the spread of pathogens in hospital environments. In Norway, ordinary cleaning of patient rooms is traditionally performed with soap and water. In this study, four floor-mopping methods--dry, spray, moist and wet mopping--were compared by two systems using adenosine triphosphate (ATP) bioluminescence (Hygiena and Biotrace). These systems assess residual organic soil on surfaces. The floor-mopping methods were also assessed by microbiological samples from the floor and air, before and after cleaning. All methods reduced organic material on the floors but wet and moist mopping seemed to be the most effective (P < 0.001, P < 0.011, respectively, ATP Hygiena). The two ATP methods were easy to use, although each had their own reading scales. Cleaning reduced organic material to 5-36% of the level present before cleaning, depending upon mopping method. All four mopping methods reduced bacteria on the floor from about 60-100 to 30-60 colony-forming units (cfu)/20cm2 floor. Wet, moist and dry mopping seemed to be more effective in reducing bacteria on the floor, than the spray mopping (P=0.007, P=0.002 and P=0.011, respectively). The burden of bacteria in air increased for all methods just after mopping. The overall best cleaning methods seemed to be moist and wet mopping.
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Microbiología del Aire , Desinfección/métodos , Monitoreo del Ambiente , Fómites/microbiología , Servicio de Limpieza en Hospital/métodos , Adenosina Trifosfato/aislamiento & purificación , Recuento de Colonia Microbiana , Pisos y Cubiertas de Piso , Humanos , Sustancias Luminiscentes , Habitaciones de Pacientes , Juego de Reactivos para Diagnóstico/microbiologíaRESUMEN
Treatment with immunosuppressive agents inhibits gingival inflammation and progression of periodontitis in humans. We examined the numbers and the isotype distribution of immunoglobulin-producing plasma cells by immunohistochemistry in gingival specimens taken from renal transplant transplant recipients receiving immunosuppressive agents (IS), and from otherwise comparable systemically healthy patients. The immunosuppressed patient group had significantly (P< 0.05) fewer IgG-, IgA-, IgG1-, IgG2-, and IgG4-producing plasma cells in the connective tissue adjacent to the pocket epithelium. The reduced numbers of such patents with quiescent periodontal disease support the contention that high counts of plasma cells are indicative of more severe disease.
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Encía/inmunología , Inmunosupresores/efectos adversos , Periodontitis/inmunología , Células Plasmáticas/inmunología , Adulto , Azatioprina/efectos adversos , Estudios de Casos y Controles , Recuento de Células , Distribución de Chi-Cuadrado , Ciclosporina/efectos adversos , Femenino , Encía/citología , Encía/efectos de los fármacos , Humanos , Isotipos de Inmunoglobulinas/biosíntesis , Inmunohistoquímica , Trasplante de Riñón , Activación de Linfocitos/efectos de los fármacos , Masculino , Microscopía Fluorescente , Persona de Mediana Edad , Periodontitis/patología , Células Plasmáticas/metabolismo , Prednisona/efectos adversos , Estadísticas no ParamétricasRESUMEN
This study tested the hypothesis that in vitro cleavage of C3 could be triggered with similar case in serum samples from patients with adult periodontitis (n = 26) as in samples from periodontally healthy subjects (n = 13). A lipoteichoic acid, a lipopolysaccharide and an aggregated IgG served as activators of complement. On the average, the periodontitis group generated significantly (p < 0.01) more C3d activation fragments than did the healthy group, as judged from rocket immunoelectrophoresis measurements. Cleavage of C4 and factor B were then assayed through immunoblotting, without prior purification of the sera. C4c fragments were seen in all activated samples, the healthy group causing significantly (p < 0.05) more C4 conversion than did the periodontitis group. Cleavage of factor B, taken as a measure of soluble amplification convertase formation, was about equal between the groups. We inferred therefore that the 2 groups produced comparable amounts of C3b. The results suggested, however, that periodontitis sera favour breakdown of the opsonin C3b, most likely by activating the regulatory proteins factor H and I. Lipoteichoic acid, causing moderate depletion of C4 and factor B, produced significantly (p < 0.01) more C3d fragments than the other two activators examined. It may be that complement activation is down-regulated in periodontitis sera, perhaps at the expense of adequate local opsonic function.
Asunto(s)
Complemento C3d/análisis , Periodontitis/sangre , Adulto , Análisis de Varianza , Electroforesis de las Proteínas Sanguíneas/métodos , Western Blotting , Estudios de Casos y Controles , Activación de Complemento , Regulación hacia Abajo , Femenino , Humanos , Inmunoelectroforesis Bidimensional , Inmunoglobulina G/inmunología , Lipopolisacáridos/inmunología , Masculino , Análisis de Regresión , Ácidos Teicoicos/inmunologíaRESUMEN
The purpose of this study was to find whether a glycerolphosphate-containing lipoteichoic acid prepared from Streptococcus sobrinus OMZ 176 cells would activate the classical pathway of complement while in solution. Reference activators were lipopolysaccharide from Escherichia coli 0111:B4 and heat-aggregated immunoglobulin G. Serum samples were taken from healthy students. Analysis through crossed immunoelectrophoresis showed that lipoteichoic acid caused an almost complete dissociation of the C1qrs macromolecule. All activators decreased the area of and slowed the electrophoretic mobility of the C4 protein peaks, with lipoteichoic acid causing the most pronounced alterations. Electroimmunoassays showed that lipoteichoic acid separately, yielded detectable amounts of free C1r2s2 subunits; it also generated significantly more trimer complexes between C1r, C1s and C1 inhibitor (C1INH) than did the other two activators. Lipoteichoic acid was, however, a comparatively weak inducer of tetramer C1INH-C1r-C1s-C1INH complexes. Analysis through Western blotting showed that all activators accelerated consumption of C1r, induced complex formations between C1INH and C1s and produced cleavage products of C2. Altogether, the immunochemical analysis gave clear evidence of classical pathway activation by lipoteichoic acid, but its activation profile differed from those seen with lipopolysaccharide and aggregated immunoglobulin G.